Hoffman D J, Seifert T, Borre A, Nellans H N
Abbott Laboratories, Abbott Park, Illinois 60064, USA.
Pharm Res. 1995 Jun;12(6):889-94. doi: 10.1023/a:1016221322886.
A variety of methods exist which determine the rate and extent of intestinal absorption. The method described here employs an internal absorption reference probe and portal blood sampling in unanesthetized rat.
Theophylline and tritiated water were selected as absorption reference probes since they are quantitatively absorbed in conscious rat. The fraction of an intestinal dose which reaches portal blood was determined from the resulting portal-systemic blood concentration gradients of the drug relative to the absorption probe. The absorption probes provide a means to calculate the drug mass reaching portal blood without the need of measuring the portal blood flow rate. The technique was evaluated with verapamil and a well-absorbed 5-lipoxygenase inhibitor, A-79035.
The fraction of an intrajejunal dose of A-79035 reaching the portal vein (FG) was 0.86 using theophylline as the absorption probe. Verapamil, which is susceptible to extensive hepatic first-pass elimination, was completely absorbed (FG = 0.98) within 1 hour, but was only 21.4% bioavailable. Absorption rate constants, estimated from initial appearance rates in portal blood, were used to monitor factors that affect drug absorption. For example, with a dose solution containing 30% PEG-400, the absorption rate constants of theophylline and A-79035 were significantly reduced. Anesthesia reduced the absorption rate constant for theophylline in rats by 40% compared to conscious animals.
The technique detailed here allows reliable, direct measurement of intestinal absorption which may assist in characterizing oral dosing for novel therapeutic agents.
存在多种测定肠道吸收速率和程度的方法。本文所述方法采用内部吸收参考探针并在未麻醉大鼠中进行门静脉采血。
选择茶碱和氚标记水作为吸收参考探针,因为它们在清醒大鼠中可被定量吸收。根据药物相对于吸收探针所产生的门静脉 - 体循环血液浓度梯度,确定到达门静脉的肠道给药剂量的分数。吸收探针提供了一种计算到达门静脉的药物量的方法,而无需测量门静脉血流速率。用维拉帕米和一种吸收良好的5 - 脂氧合酶抑制剂A - 79035对该技术进行了评估。
以茶碱作为吸收探针时,空肠内给予的A - 79035到达门静脉的分数(FG)为0.86。易受广泛肝首过消除影响的维拉帕米在1小时内完全吸收(FG = 0.98),但生物利用度仅为21.4%。根据门静脉血中初始出现率估算的吸收速率常数用于监测影响药物吸收的因素。例如,对于含有30%聚乙二醇 - 400的给药溶液,茶碱和A - 79035的吸收速率常数显著降低。与清醒动物相比,麻醉使大鼠体内茶碱的吸收速率常数降低了40%。
本文详细介绍的技术可实现对肠道吸收的可靠、直接测量,这可能有助于确定新型治疗药物的口服给药特性。